Our today topic is vomiting during pregnancy.We will talk about vomiting during pregnancy.Nausea and vomiting are common during the first trimester of pregnancy. About 50% of expectant mothers will suffer and 25% will feel nauseated. Although we sometimes talk of morning sickness, these discomforts can be present at any time of the day.
Nausea and vomiting usually begin around the 6 th week of pregnancy and continue to the end of the first quarter. Some women, however, will be affected until the 20 th week of pregnancy. In rare cases, this discomfort may persist until delivery.
Usually, nausea and vomiting are safe for both mother and baby. However, if the pregnant woman is unable to eat, she may miss certain nutrients and become dehydrated.
Vomiting During Pregnancy
According to experts, nausea and vomiting are likely to be caused by hormonal changes that occur in early pregnancy. Fatigue and emotional factors may also be involved.
If nausea and vomiting begin after the 9 th week, they could be a sign of a health problem. Discuss with your doctor.
Some pregnant women are more likely to have nausea and vomiting:
pregnant mothers of twins or triplets;
women who have had nausea or vomiting during a previous pregnancy;
those whose mother or sister had nausea or vomiting during her pregnancy;
women with motion sickness or migraines;
mothers who are pregnant with a girl.
Vomiting During Pregnancy
How to prevent?
It is difficult to prevent nausea, but some actions can reduce the frequency and severity.
Avoid staying too long without eating. You have to try to eat more often, but in smaller quantities.
Eat lightly (eg, toast or crackers) and wait 15 minutes before getting out of bed in the morning.
Eat foods you want. For example, salted chips would help soothe the stomach enough for you to eat.
Avoid cooking or eating spicy, fatty or fried foods.
Open the windows or use the oven hood to evacuate odors that bother you.
Take the air and avoid getting too hot.
Take naps or take a few days off work if necessary. Fatigue can aggravate nausea.
If multivitamins increase your nausea, try taking them with food or just before bedtime.
Some alternative treatments may help relieve nausea and vomiting.
It is important to avoid dehydration. Be sure to drink small amounts of water frequently.
Ginger would have a calming effect on the stomach. Studies have shown that it is effective in reducing nausea. It is suggested to take 250 mg capsules of ginger, 4 times a day. Their effectiveness however varies from one brand to another. It is therefore better to ask the pharmacist for advice. Fresh ginger or an infusion of grated ginger would also be effective, but it is then more difficult to control the dosage.
Vitamin B6 supplements can also help relieve pregnancy nausea.
Acupuncture and acupressure may be effective in reducing nausea and vomiting. There are special bracelets that exert pressure on a specific point of the wrist.
What if vomiting is caused by gastroenteritis?
To prevent dehydration, you can take a rehydration solution (eg Pedialyte® and Gastrolyte®). On the other hand, drugs to reduce vomiting, such as dimenhydrinate (eg Gravol®), should only be used after talking to a pharmacist or doctor, as they cause drowsiness.
To determine whether or not a drug treatment is necessary, it is important to assess how everyday activities are affected by nausea and vomiting. The rapid treatment of nausea and vomiting can prevent several complications in the mother, including hospitalization, and help her resume her daily activities.
Women who vomit a lot should rinse their mouths with a solution of baking soda (1 teaspoon in a cup of water). This will neutralize acidity from the stomach that could attack tooth enamel.
The most common drug treatment is Diclectin®. This medication is composed of an antihistamine and vitamin B6. It is available only under prescription.
Vomiting During Pregnancy
According to Health Canada, this medication is effective in relieving nausea and safe for the baby. Studies have concluded that Diclectin® does not pose a danger to the unborn child. However, some researchers have raised concerns about the use of this drug and some congenital malformations such as pyloric stenosis . According to the CHU Sainte-Justine IMAGe center, even if this association were real, the risk for the fetus would remain very low. The Society of Obstetricians and Gynecologists of Canada (SOGC) maintains that Diclectin® is a safe medication to treat nausea and vomiting during pregnancy.
When nausea becomes extreme
In some women, nausea and vomiting can become so severe that the health of the mother and baby is threatened. We then speak of hyperemesis gravidarium . From 1 to 3% of pregnant women would be affected by this condition.
Consult your doctor if:
nausea or vomiting harms your activities;
you lose weight
you have signs of dehydration such as dryness of the mucous membranes (mouth, nose) and dark urine;
your vomiting is important and persistent.
Women who suffer from hyperemesis gravidarium will need treatment to stop vomiting. They will also need to be fed and hydrated. In some cases, hospitalization may be necessary.